Killdeer, ND

Hill Top Home Of Comfort Inc

2-star overall rating with 1-star inspections with $198,960 in total fines with 1 recent health deficiencies with 1 fire-safety deficiencies in the latest cycle

95 Hill Top Dr, Killdeer, ND

(701) 764-5682

Compare this facility

Overall

2 / 5

CMS overall stars

Health inspections

1 / 5

Survey and complaint cycles

Staffing

5 / 5

RN + nurse staffing

Quality measures

4 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

60

Certified beds

Average residents

59

Average occupied residents

Ownership

Non-Profit

Publicly displayed owner type

Chain

No chain reported

Operator or chain grouping

Approved since

1989-05-10

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Changed ownership

No

Within the last 12 months

Family council

Yes

Resident and family council reported

Sprinklers

Yes

Automatic sprinklers in all required areas

Staffing

Hours and turnover

RN hours / resident day

0.93

Registered nurse staffing · state 0.93 · national 0.68

LPN hours / resident day

0.30

Licensed practical nurse staffing · state 0.50 · national 0.87

Aide hours / resident day

3.28

Nurse aide staffing · state 2.99 · national 2.35

Total nurse hours

4.50

All reported nurse hours · state 4.41 · national 3.89

Licensed hours

1.23

RN + LPN hours · state 1.42 · national 1.54

Weekend hours

3.77

Weekend nurse staffing · state 3.75 · national 3.43

Weekend RN hours

0.48

Weekend registered nurse coverage · state 0.59 · national 0.47

Physical therapist

0.00

Reported PT staffing · state 0.04 · national 0.07

Adjusted RN hours

1.09

CMS adjusted RN staffing hours

Adjusted total hours

5.30

CMS adjusted total nurse staffing hours

Case-mix index

1.16

Higher values indicate more complex resident acuity

RN turnover

23%

Annual RN turnover · state 38% · national 45%

Total nurse turnover

33%

Annual nurse turnover · state 49% · national 46%

SNF VBP

Value-based purchasing

Program rank

369

Lower is better among SNFs in the FY 2026 VBP program.

Performance score

71.61

Composite VBP score used to determine payment impact.

Payment multiplier

1.0231

Above 1.000 increases Medicare payment; below 1.000 reduces it.

Program components

How the VBP score is built

Readmission

Not reported

This facility did not meet this measure's case minimum policy requirement and therefore no measure data is publicly reported.

Healthcare-associated infections

Not reported

This facility did not meet this measure's case minimum policy requirement and therefore no measure data is publicly reported.

Total nurse turnover

8.59

Baseline 39.29% · Performance 28.57% · Measure score 8.59 · Achievement 8.59 · Improvement 6.92

Adjusted total nurse staffing

5.73

Baseline 5 hours · Performance 4.71 hours · Measure score 5.73 · Achievement 5.73 · Improvement 0

SNF QRP

Medicare quality reporting measures

Measure	Facility	National	Note
Potentially preventable 30-day readmission	9.22%	10.72% 1.5 pts better	No Different than the National Rate · Eligible stays 36 · Observed rate 0% · Lower 95% interval 5.73%
Discharge to community	46.81%	50.57% 3.8 pts worse	No Different than the National Rate · Eligible stays 27 · Observed rate 37.04% · Lower 95% interval 30.21%
Medicare spending per beneficiary	0.76	1.02 0.3 pts better
Drug regimen review with follow-up	Not Available	95.27%	Numerator Not Available · Denominator 19 · Too few residents or stays to report publicly.
Falls with major injury	Not Available	0.77%	Numerator Not Available · Denominator 19 · Too few residents or stays to report publicly.
Discharge self-care score	Not Available	53.69%	Numerator Not Available · Denominator 13 · Too few residents or stays to report publicly.
Discharge mobility score	Not Available	50.94%	Numerator Not Available · Denominator 13 · Too few residents or stays to report publicly.
Pressure ulcers or injuries, new or worsened	Not Available	2.29%	Numerator Not Available · Denominator 19 · Adjusted rate Not Available · Too few residents or stays to report publicly.
Healthcare-associated infections requiring hospitalization	Not Available	7.12%	Not Available · Eligible stays 14 · Observed rate Not Available · Lower 95% interval Not Available · Too few residents or stays to report publicly.
Staff COVID-19 vaccination coverage	1.25%	8.2% 6.9 pts worse	Numerator 1 · Denominator 80
Staff flu vaccination coverage	24.49%	42% 17.5 pts worse	Numerator 24 · Denominator 98
Discharge function score	Not Available	56.45%	Numerator Not Available · Denominator 13 · Too few residents or stays to report publicly.
Transfer of health information to provider	Not Available	95.95%	Numerator Not Available · Denominator 2 · Too few residents or stays to report publicly.
Transfer of health information to patient	Not Available	96.28%	Numerator Not Available · Denominator 4 · Too few residents or stays to report publicly.
Resident COVID-19 vaccinations up to date	Not Available	25.2%	Numerator Not Available · Denominator 9 · Too few residents or stays to report publicly.

Quality measures

Resident outcomes and process scores

Measure	Facility	State	National	Note
Number of hospitalizations per 1000 long-stay resident days	1.5	1.4 0.1 pts worse	1.9 0.4 pts better	Long Stay · 20240701-20250630 · Adjusted 1.5 · Observed 0.8 · Expected 1.1 · Used in QM five-star
Number of outpatient emergency department visits per 1000 long-stay resident days	1.6	1.9 0.3 pts better	1.8 0.2 pts better	Long Stay · 20240701-20250630 · Adjusted 1.6 · Observed 1.2 · Expected 1.2 · Used in QM five-star
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine	100.0%	98.3% 1.7 pts better	93.4% 6.6 pts better	Long Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 100.0% · Q3 100.0% · Q4 100.0% · 4Q avg 100.0%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine	100.0%	98.8% 1.2 pts better	95.5% 4.5 pts better	Long Stay · 2024Q3-2025Q2 · 4Q avg 100.0%
Percentage of long-stay residents experiencing one or more falls with major injury	3.4%	5.1% 1.7 pts better	3.3% 0.1 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 3.4% · Q2 3.3% · Q3 3.5% · Q4 3.4% · 4Q avg 3.4% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms	0.9%	4.4% 3.5 pts better	11.4% 10.5 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 3.5% · 4Q avg 0.9%
Percentage of long-stay residents who lose too much weight	7.2%	5.5% 1.7 pts worse	5.4% 1.8 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 1.8% · Q2 10.5% · Q3 9.3% · Q4 7.1% · 4Q avg 7.2%
Percentage of long-stay residents who received an antianxiety or hypnotic medication	13.7%	17.4% 3.7 pts better	19.6% 5.9 pts better	Long Stay · 2024Q4-2025Q3 · Q1 17.2% · Q2 15.0% · Q3 12.3% · Q4 10.2% · 4Q avg 13.7%
Percentage of long-stay residents who received an antipsychotic medication	19.0%	23.4% 4.4 pts better	16.7% 2.3 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 28.9% · Q2 14.3% · Q3 15.9% · Q4 16.7% · 4Q avg 19.0% · Used in QM five-star
Percentage of long-stay residents who were physically restrained	0.0%	0.2% 0.2 pts better	0.1% 0.1 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0%
Percentage of long-stay residents whose ability to walk independently worsened	16.7%	19.0% 2.3 pts better	16.3% 0.4 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 28.2% · Q2 22.1% · Q3 10.6% · Q4 6.5% · 4Q avg 16.7% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased	21.1%	20.1% 1 pts worse	14.9% 6.2 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 25.0% · Q2 20.7% · Q3 19.2% · Q4 19.3% · 4Q avg 21.1% · Used in QM five-star
Percentage of long-stay residents with a catheter inserted and left in their bladder	0.4%	1.8% 1.4 pts better	1.0% 0.6 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 1.7% · 4Q avg 0.4% · Used in QM five-star
Percentage of long-stay residents with a urinary tract infection	0.0%	3.1% 3.1 pts better	1.7% 1.7 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% · Used in QM five-star
Percentage of long-stay residents with new or worsened bowel or bladder incontinence	22.3%	25.2% 2.9 pts better	19.8% 2.5 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 17.6% · Q2 25.9% · Q3 24.2% · Q4 21.6% · 4Q avg 22.3%
Percentage of long-stay residents with pressure ulcers	0.0%	5.3% 5.3 pts better	5.1% 5.1 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine	100.0%	93.6% 6.4 pts better	81.7% 18.3 pts better	Short Stay · 2024Q4-2025Q3 · 4Q avg 100.0%

Survey summary

Recent inspection cycles

Cycle 1 Health 2025-08-27 · Fire 2025-08-27

1 health deficiencies

Top issue: Quality of Life and Care (1 deficiency)

1 fire-safety deficiencies

Top issue: Gas and Vacuum and Electrical Systems (1 deficiency)

Cycle 2 Health 2024-07-16 · Fire 2024-07-16

5 health deficiencies

Top issue: Freedom from Abuse and Neglect and Exploitation (3 deficiencies)

1 fire-safety deficiencies

Top issue: Egress (1 deficiency)

Cycle 3 Health 2023-07-26 · Fire 2023-07-26

1 health deficiencies

Top issue: Nutrition and Dietary (1 deficiency)

2 fire-safety deficiencies

Top issue: Egress (1 deficiency)

Fire safety

Fire-safety citations

F · Potential for more than minimal harm 2025-08-27

K914 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.

Corrected 2025-10-23

D · Potential for more than minimal harm 2024-07-16

K293 · Egress Deficiencies

Fire Safety

Have properly located and lighted "Exit" signs.

Corrected 2024-07-07

F · Potential for more than minimal harm 2023-07-26

K291 · Egress Deficiencies

Fire Safety

Install emergency lighting that can last at least 1 1/2 hours.

Corrected 2023-09-08

F · Potential for more than minimal harm 2023-07-26

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have generator or other power source capable of supplying service within 10 seconds.

Corrected 2023-09-08

Inspection history